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Home My WebLink About17569-zM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. IIPDATED CERTIFICATE OF OCCUPANCY 226358 Date April 6, 1999 THIS CERTIFIES that the building ALTERATIONS Location of Property 155 BIRCH DR. PVT. RD.#6 LAURBL House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 04 Lot 04 Subdivision Filed Map No. Lot No._ conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 175692 dated OCTOBER 28, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is CLOSE IN EXISTING SCREENED PORCH, ALTERATIONS TO ROOF & INSTALLATION issued is OF HEAT SYSTEM TO CONVERT TO YEAR ROUND ORE FAMILX DWELLING The certificate is issued to GAIL A. RAR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N061843 - MARCH 8, 1989 PLUMBERS CERTIFICATION DATED LISO PLDMBING-MARCH 13, 1991 * THIS UPDATES CO#219800 dated March 1 , 1991 ,~ 9,, - , Rev. 1/81 FOB~M NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~°- 617569 Z Date .. ~!{,1..~~....Q .................................... 19iJ.s:1. Permission is hereby granted ~~ V..~"~J.-S ......~.C.... s~Kll..~ ...~..~t!~lsr .... t0..f"..~'.cFE!{......~nP..... /Fy~i.t~j..~~i1,. ..yti~~fcc,c...~/0~~~~ .. ... at premises located at ........ .. ....... ...............................................................................yy................................................................................ County Tax Map No. 1000 Section ........~,o~..Q..... Block .....,.~.......~Lot No .................~.. pursuant to application doted ............°~......1,7 ............................ 19.C,/f~, and approved by the Building Inspector. ~ 0 Fee $.C..l..'.:. B ~. •~~ B~~~~ding Inspecto~ i/ ~~ Rev. 6/30/80 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219800 Date MARCH 18, 1991 THIS CERTIFIES that the building ALTERATIONS Location of Property I55 BIRCH DR. PVT. RD. #6 LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 04 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Applic ation for Building Permit heretofore filed in this office da ted OCTOBER 14, 1988 pursuant to which Building Permit No. 175692 dated OCTOBER 28, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is CLOSE IN EXISTING SCREENED PORCH AND ALTERATIONS issued is TO ROOF OF EXISTING ONE FAMILX DWELLING. The certificate is issued to GAIL A. KAR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE N0. N061843-MARCH 8 1989 PLUMBERS CERTIFICATION DATED LISO PLUMBING-MARCH 13 Building Inspector Rev. 1/81 Form Vo. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: L. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17, lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. _~ _, B.~' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and `-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. , Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildia2 - $100.00 - Copy of Certificate of Occupancy - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - ResidentQial $15.00, Commergcial $15.00 Date !.l ~ ~i.l..~~Q/ ..................... ~..X.. New Construction........tt.~~ 01 -Oryryr Pre-.{g~c{ist~n Building .... ......... Location of Property~~~t.~4~~ . Jk.:P.~~.~ d.. ~ ........................~j.~;u!:.¢:!............ House No.~gOG j/~~/C~~„~,r,~ ~t ~lya Hamlet Onwer or Owners of Property.....~~. Gf-L.I.. P. s..~~y ................... p ........................... County Tax Map No 1000, Section.., J.~`. G.....B1ock..P 4..........LOt.. Q.T ................ Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted; $ ~ oo . • ' / ~' r~,~ n'~,,, Ups'-~. GD, Y /~~i~~.~ i', . .5~"~'.`,~.. ~~~.......... C~ / ANT Lo ~d G 3,5~ ~~ 5~~~ SMITH, FINKELBTEIN, LUNDBERCi, ISLER AND YAKABOSKI, LLP ATTORNEYS AND COUNSELORS AT LAW 45G GRIFFING AVENUE, CORNER OF LINCOLN STREET P. O. BOX 389 HOWARD M. FZNXELSTEIN RLVERHEAD, N. Y. 11901-02 0 3 PIERRE D. LUNDBERO FRANCIS J. YAEABOSXI (516) 727-1100 FRANE A. ISLER REOINALD C. SMITH SUSAN ROOERS ORUN FAX (51G) 727-4130 %9~6-1983 6AIR O. HETTS _ E-MAIL efliy@peconic.net DAWN C. THOMA9 MATTHEW M. FZNEELSTEIN Apri15, 1999 Building Department Town of Southold Town Hall Southold, New York 11971 Attention: Inspector Gary J.Fish Re: Premises - 4900 Peconic Bay Boulevard, alkfa 155 Private Road #6, a/kfa 155 Birch Dr. Pvt.. Rd. #6 (Matthew and Gail Kar) Dear Sir/Madam: In accordance with my letter to your office of March 30, 1999 and my telephone conversation on April 5, 1999 with Michael Verity and Gary J. Fish, I enclose application for an updated certificate of occupancy, which includes the subsequent certificates of occupancy, to show that this is a year-round 'house. I enclose our check in ilie sum of $50.00. If there is anything else that you need from us, please advise. Very truly yours, ~~~~~ PIERRE G. LUNDBERG PG ee Encls. F I " ~/1~^} ~// e_., S ~~I, FINI~ELSTEIN, LUNDBER(I, ISLER AND YAKABOSKI, LLF / ry ~~~ .. ' J , ATTORNEYS AND COUNSELORS AT LAW ~~pl, QCfa 456 GRIFFING AVENUE, CORNER OF LINCOLN STREET r . , f~1~ll{~~ Q_' ii~(J r!-!fy :, P. O. BOX 389 , HOWARD Id. FYNKELSTEIN RIVERHEAD, N. Y. 11901-0203 PIERRE O. LUND8ER0 FRANCIS J. YAKAHOSKT (51G) T27-4100 FRANX A. ISLER REOINALD O. SMITH SUSAN ROOER5 ORUN $AX (51G) 727-4130 1926-1983 OAIR O. BETTS E-MAIL aniy@peconic.net DAwN O. THOMAS MATTHEW M. FINKELSTEIN March 30, 1999 Building Department Town of Southold Town Hall Southold, New York 11971 Attn: Pat Conklin Re: Premises - 4900 Peconic Bay Boulevard, a/k/a 155 Private Road #6, a/k/a 155 Birch Dr. Pvt Rd. #6 (Matthew and Gail Kar) Dear SirlMadaln: I would like to meet with a Building Inspector to review the various certificates of pre-existing use and certificates of occupancy heretofore issued in respect to these premises. At present there is a contract of sale, and the purchaser wishes to be sure the premises heating system is approved by the Town. For convenience, I enclose: 1. Certificate ofPre-Existing Use issued on July 6, 1988 (The Kars took title on August 4, 1988). 2. Certificates of Occupancy 219800 for Building Permit 175692 of October 28, 1988 issued March 18, 1991, and referencing Plumbers Certification of Liso Plumbing of March 13, 1991. 3. Certificate of Occupancy 219801, also dated March 18, 1991, for Building Permit 191242 of June 12, 1990. SMITH, FINKELSTEIN, LUNDBERCi, ISLER AND YAKABOSKI CONTINUED Building Department Town of Southold March 30, 1499 Page 2. 4. Certificate of Occupancy Z-20330 dated November 7, 1991 for Building Permit 18868-Z of March 13, 1990, referencing Plumbers Certification of Walter L. Dohm of November 1, 1991. Underwriters Certificate No. 158435 of October 31, 1990, referred to in number "4" above, and containing a reference to one gas furnace. (This was apparently received by your department on February 6, 1991, prior to the issuance of number " 2" above and at the same time as the underwriters certificate referenced in " 2" above). The client's file, which I will bring, contains a January 24, 1991 inspection report by Inspector Gary J. Fish which reflects the existence of a heating system and a request that the "... heating contractor cafl Building Department." Lastly I enclose the November 23, 1988 proposal of Liso & Dooley Plumbing to the Kars, which includes: "...move baseboard heat and add additional radiation in new section. Any gas piping will be extra." I hope these enclosures will aid your Department's review of your file for these premises and expedite our meeting and your Department's suggestions. I would prefer a meeting on a Tuesday or Thursday as soon as is convenient. ,, very t iy yours, ~G. L R PGL:mee Encls. FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office o£ the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nq Z-20330 Date NOVEMBER 7, 1991 THIS CERTIFIES that the building ADDITION Location of Property 155 PRIVATE ROAD #6 LAUREL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application £or Building Permit heretofore filed in this office dated MARCH 13 L1990 _puxsuant to which Building Permit No. iS86S-Z dated MARCH 13 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MATTHEW & GAIL KAR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-158435 - OCTOBER 31 1990 PLUMBERS CERTIFTCATION DATED NOV. 1 1991 - WALTER L. DORM .~..._ "- ilding Inspector Rev. 1/81 PROPOSAL Lisa & Dooley Plumbing & Heating Corp. PO Box 387 Jamesport, New Xork 11947, 1516) 722-4705 Proposal Submitted To: Name ~ Matheto Kar City _ State Street ~'-t?C^ni ^ Ra}' F1Lvd T;ity _.-M3t:LOIt __..._.__._____._.._._ State ~_______ Date of Plans ~~_..__.~_____.__._._._ ~-_.~._ Architect _.__________.__.___.__._._.______ .__ Work To Bo Psrformad We hereby propose to furnish the materials and perform the labor necessary for the completien of Yenovation of ~' house on Peconic Bay Blvd, Mattituck, NY. It will include all new _~__ rotiy„Y i~g,_#:9_X~b~tYw,~oo~_ and. , laux~atryL_Igove baseboard heat and _add additional _ i, „_,_~a¢~a.x_iori__.~n_new section ___ Any ass nibino will _be,_extr.a:._____,__._._~___________~.__._ --._____....__...,....._..____._..-----.-__-_.__.~_.__r-_._..____.__-___w__., _._.~?~1TA~IQ~~~~ ~._. _v_ _____,___3~4,._&_,_2,"__.cop_pgr__s~p~ lines -.~_-,~~______~__1 -_~50e00 lavator ~. fuacet__ _ PVC waste and vent er code 1 - 5' white steel tub ____ -white elan ated American Standard water closet _ __1-- --.~.___.._.__._,._._~.___ ~T_._ ._.....__..__._____._-,__._..~.______._.__.__.._____~__.__________.__....... ~~ ~ 1 - oval 20 tat~17_steel sink ___~....__-..-----_.._._._...,__.__._ -.~___________..-------_v.._._~_..~__~.,_---..__.___..~____.____......__--_--.__.~._-- - Ellcay_ 2522 stainless steel._sink__,_~~.~_r~_____._______~.~____ .._.._..__._._..____.___.. 1 _ _~_ __1 - 174 goose neck kitchen sink faucet with spray ~ _ ___ _~.._ 1636__Delta tub and shower faucet~~~^_~,~~ __~,,_~~_~40Q~00_v .___~. __ _ 1 ,- laundry_iwok ug._u~sta_ira ___-, ._.~_-----__~.34'_~xtra_~'ie.~s'~r~'__.,___.___._----____ _ 1 - dishwasher hook un FirnnratPC3 water c7 reset All materiel is guaranteed to be es specified, and the above work to be performed in accordance with the drawings end specifications submitted for above work and completed in a substantial workmanlike manner for the sum of i Three thousand six hundred dollars and no/100____________________________DoOars(53,600.00 i, with payments to be made es fotlows:.__ Con~?7,?t}on of rou5h_~7,1.800u0Q„ ano,_ finish ~, 800 00.,-_---,---r-r-_= -- ----.__-- ----~-.,__~... ____~____.__.._.... _.__.__~__ _-.-..__..__.. _.__.--. --_.-- ._-_ _.. I Any alteration or deviation tram above apecificatione involving extra coats, will be executed only upon written orders, end will become an extra charge aver snd above the eatimeta. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to Gerry fire, tornado entl other neraesary ineurenca upon above work. Work- men's Campansaelon and Public Liability Insurance an above work to be taxen auE by t--- Respectfully submitted Per ___. 4_ _J.~ .._.__. F~.Y'~ Note-This proposal may be withdrawn by us if not accepted within_._..~._ days. Slgnetgre ' ~~~ ~5451~ ~ ~ ~ ~ a.e .._e Form No. 6 ~ `_? :x° ~~ ~~ TOWN OF SOUTHOLD ~ ' 3 BUILDING DEPARTMENT TOWN HALL ~ 765-1802 S ~- T::M1+`o ti £ir ,::^il"tr'?'~`x APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2j10 of 1~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......... . ~. ~.??./ ~ l ................... New ~on~ r ction~........ Old Or Pre-existin Building.. ~... ~~~?":`:~.~.~ Location of P operty..:T ....7 ::: ;r u- .7-z`L 5-? (.v~ L¢t;t;~;,; , , ,~ ~ ~d . k°!~ ~~ House No.//~ // /y~~~ Street Hamlet . Onwer or Owners of Property....Y:Y/,1., /7..1-.:~:1~.........(.' ................................... County Tax Map No 1000, Section..... Z~.....Block....../..........Lot...... ~ .............. Subdivision ............................... //Filed Map............//L//ot.I....~,................. Permit No.... ~7, ~,rq ~ , , , ,Rate Of Permit. ~d/: y6.~ ~ ....Applicant...J, :rP+~l:. J.ChN:~............ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $..... ~5:°~ .................. ~:G`.. .~, o z~y~ ........ I c~ APPL CANT f • _ o~ :. k;; l~ 7'O~N OI'' SOUTHQLU '~ ~+~ ~ OFFICE OF ISUILbIi~IG INSPECTOR ~ ,, . '~ zr: :~ m P.O. [30X 728 "' cA "~ T01VN }[qLL o'~~l r~ '~~~~ SOUT1iOLb, N.Y. 11971 C E R T I F I C A T I O N TEL. 7G5-1 f302 Date ~,a ~ T Puilding Poermit No. °S (~ ~ ~ Ownerly/aTZr w ~- l'~,,/ ~~ ~ (please print) Plumber~'r„ ~~~K ~ ' ~ /~~~. ~~ (please int) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. (plumber's ignature) Sworn to before me t1:is /,~rday o£ ~.e~~ ~ 19~, tlotary public, flu/~ County DQI.ORES 1.. LISO Notaro Publiq Sra;e et New York SuBulk County • ka. ISItO?2 CormmrdaslonEzpirae fkt.31,~ Notary Public 4~ ~,~i IELD I;: S:'E .lU;i e w, t. ' FOUt1DATI0N .._ ( 1st ) °OUNDATIOtd (2nd) 2. ROUGH FRAME & PLUMBING UniC, i;Oa'iMGNT° 3, ItdSULATION PER N. Y. STATE ENERGY CODE f ~ P 4. r I~ •o . FINAL ~_~ . ,,;~"s'~ -r NAL COMMENT `\ -o (` m'~ _a ~ H `~ c i ~ ~ m \, ,adr,_ `( .. u-i ( n '~ ~.P ~° ~ 7 ` ti ~a ~ [TI ` PJ .. H ~ ,~e.e. ~~ a~.~ H ~ ~ _ &r _ ~~ ^~ _ _. ... ~, d. n ~, ~ ~ x ~~ b H ~ n. y333~~~ w~i7 M~ -y -- m A~ Z H `~ 1 --~ i m ~ -o H ~, U ~~ ~~Y { ~4! ~s ~~~ Town or souTUOy,p OI~fICL' OF ~iUILDING INSPECTOR P.O. Il0`C 1 1 7 9 TOWN BALL S0ilTI1OLD, N.Y. 1 1971 JANUARY 30, 1991 Mark Finne Carpentry 1370 LIGHTHOUSE RD. SOUTHOLD, N.Y. 11971 To ~4hom This May Concern, We arc unable co complete your Certificate of Occupancy because of the follocaing reasons. TEL. 7cs-1 soz 1_! An application for Certificate of Occupancy is not nn fil.c. CENCLOSED) /^/ DIo tJnderr~r'iters Certificate on file. /~/ 't'he rlicc:F: .i:: (~~XI~rX~x>~~rF$not ou tile.) $25.00 /,/ No ilcalth Dcpt. Approval on file. /,/ No final insl~~r_ction hay been mace. Please contact our office on this matter. Thank you for your cooperation. lluilclir,g hcrmi.t-. {1 i 7 5 6 9 Z Iluilcli.ng Dept-. ~"''"/_/ tto Plumbr_r 5a1Qer Certificate on rile. ( all pertaits involving plumbing being 1^~UCCI after ,1pri1 1,1984 ) cc to: Matthew Rarr P.O. Box 634 Laurel, N.Y. 11948 ~ ~Z_~ D February 28, 1990 Building Department Southold Town Hall P.O. Box 1179 Southold, NY 11971 MATTHEW P. KAR P.O. BOX 654 LAUREL, NY 11948 (516) 298-4458 REFERENCE: Building Permit #17569 Gentlemen: Per my conversation with your office this date, this letter requests that the referenced building permit be extended for a period of six months, thereby extending the permit through October 1990. Should you have any questions or require additional information, please do noY, hesitate to contact met at (516) 298-4458. Sincerely, Matthew P. Kar ~ lag)ya ~o ~ ~. '~ V'~~'~'. ~~ .~ `(} 4~ ~ m ' ~ZU~i~agc o a ~ z a~~~S a s v, ~ # ~ tx. Z ~j~ etS ~ U N y a: y_W 3~t"(.7Z ~~~' ~ ~ m~~~ ~~ z°~~ 7~j ? ~~/72Aa U t OQ?Q~!'E~ ~ yqC~ '° ~~o~~~y~W ~w~ W~~OLLLL~z_{L ao ~i YIQStNtI ~ll/-m ~ rl i i 4 ~.~ ~~ 1 may, V` ~~ n,.,. ~~.,~ ~,.,~m ~~ ~ ~.~. OSSF' g ~~ w w & ~ &4 ~, ~~ ~ ~ ~ Q~ `~~ ~ ~j5i4[1 ~ ~ ~ ~ ~ ~ p j o A F~~ 'h~' g ktiNYA p k il ~ ~ RYm+xp ~~~ ~, y ~~ ~ ~: «.xt- ~„~ ~ ~ .r n „ ~ ~ ~~ ~ Vim, ~.8b` ~ ~`4D~ctN p W:A:'S ^^~~ t ~.nss~ .w..r3 ,.+.ru,:9 ~...u. t '-F i _. M1`~ 1 ~' C: t, r7~~~ ~~~ ~~-~~ BUfLD1NG DEPT. t NSPE~TI~N [ ] F'OUNDATiON 1ST [ ]ROUGH PLBG. [ 1 FOUNDATION AND [ ] INSULATION [ ] FRAMING [ INAL REMARKSs DATE INSPECTOR _, ~ ? S"~ ~ ss-isoz UILDING DEPT. ~~-~° INSPECTION [ ]FOUNDATION 1ST [ ] FOUNDATION 2ND [ ]FRAMING ( ] ROUGH PLBG. [ ]INSULATION [°'] FINAL REMARKS: IVY ~cG-~s.S' DATE ~ INSPECTOR // 765-1802 BUILDING DEPT. INSPECTIAN [ ]FOUNDATION i5T ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL DATE /~-/ 2 11~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f~~-]TROUGH PLBG. [ ~ FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ] F{NAL REMARKS: ~~~~~~ d-' ~"~~ d"lz..~ DATE /~ ~7 INSPECTOR ~`y` r~-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ] FINC <~'7/ ~? e~`~ ~~ ~~T esv~srncc. u. ._~ ~ ~ / 765-1802 BUILDING DEPT'. Cow INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. >.~ DATE ' I~ al INSPECTOR ~ ~.. ~~ [ ]FOUNDATION 2ND [ ]INSULATION RAMING [ ]FINAL ~ ~ ~ ~~.~8~ ~~ DUILDING DEPT. INSPECTION [ ] FOlJNDATION 1ST [ ] ROUGH PLBG. [~ FOUN .ATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL r--- ~~ ~/~ 7 Sy S v e ,q- /.~- REMARKS: ~~~A ~ ._ ~ ~ ~~ ~~~ ~~ DATE_~~~INSPECTOR P . •~ .. -_ _ --a,~ ~-- toolo7t TMI~' ~l '~~~K BOARD OF FIRE UNDERWRITERS PaBE t ^UREAU OF ELECTRICITY ' 65 JONN SiTREffT. NEW YORK, NEW YORK 10038 MARCH 06,19@9 5972018818@ N 061@43 Date Applitwtton No. on file TNI6 CERTIFIEi THAT only tha aLr:trG.vl Mtrtpw[awt r deeeet6ad haimo and intrsdneed 6y tha aprUcawt naaead on tha afpoe appUeaNr[ naaebar in thapramtws of ATTHEN KARR, 4990 PECONTC. BAY BLVD., NATTITUGK, N. Y. ...r.. r..n.....:... r....~.te.., n w......... (~ t.. trr_ n t...r ~r_ ATT 1 C .c.Yt:.... ehM,t~ L,t " '" FE@RUARY 23,1989 tens examined un andfound to 6e in eomplionee with the reyuirementx of thA Bond. R1tTiJM - __ ACief lINITCi~ tMORRt9 ReCKS VNtS UST ANS OURl/S NT ftlRlttttRlT OTNt11 AMi. K. w. AMT. [. W. NAT. [.W. AMT. K. W. AMT. N. P. 9 b 13 @ 1 1 1,2 2 F ORYee4 RiMMG Moines RITWe MlUAN p tlisK RsC'~T )IItR t30Q(S SNt tNNT NtATNK ttlR 111YT BUIIAMf AMT. K. W. dl N. P. OAt N. P. NAT. NO. A. W.O. AMT. AW. AMT. .AMPS. TRANS. NAT. N. 1. ~, a f~T AMT. WATTS S bOv SRRVK7 DKCOfBACT ND. W S i R V I C e AMT. AAN. TTPt ~, l w 7W l w Av a w tw t w «+ No. armor ~ca+o. a . w No. d n-lta of ~ No. a NlUIMIE t eiTiRAI ! 200 C@ 1 x 1 2/0 1 210 oTNBI AlMRATVk -- 6.F.C.Ic-11 SMOKE DETECTURs-L TRUCK LI6HTIN6s-4 ~, .e'o'~ 6 & S CONTRACTOk LIC.MS78E @ox zis 60UTHOLO, NY, t 1971 ~ OelleeAt tawiwelt 11 , \ Per Thb aertifipola. mutt npt he altered in orq mamserr rNUrn to 1M oHip of the Board if ineorrad. ImpicMrs. may b.. idRSHNed Nrir credenciah. ~ I ^E ALT _ r ...~.,.. w... . =: v D ..., ~ W p O p~ Z 0~ ~~ -Cn q~ O D< O 'z^ c ~ c^ZD~-^"~' o ~i S~O p n A T G~ X ~ a p M ,"v' fl Z ~ m < A ~ e~' p y O ~ rn K W~ ~ \VR,~ O II O -~-{ ,tt A z w O y 0 ~ O c r^zAC~ 4 y ~(~ ~' C Q N~ -n A C r X O, "' m ~ ~7 ' ~J ~ Z~ Z A C C O n b m O° ZA RW. ~1 S ~a ~ ~' . ~ ~ ~ ~ ~~~ ~ ~~ m c~ ~~ ~ PE ~~,~ 00 A w I Rl ~u/~ M•a,ey,f B. SwEE.~.IEY ..~ 73 % ooE 7~. \ ~ ~ ~ =o d WiRt ~~ ~ N ~ ~ ° ~ ~ -~ a ~ ~ z ,~ y 8 ~~ S o 0 0 ~ ,~9 ~~ ~' ~ o ~ ~ ~~ `~ ~~~ - fl z ~ ~~~ ~ ~ ~ 0 ~ ~ ,~. ~ 6 O ..^.i '+ ~~ ~ /8.10 n ~ .~ 0 ~ 39.2 ~ "V ~ ~ z O O o o ~~ { I s73%4~~ 7~.P~' l D 3 ~ p I o L7 m r- x `rr v - ~ ,U~~,QG4.(,/E$~ ~P2/C!A I./. Ccx1Gt7E,U ~ n0 \\ p Z r- W ~ ~ < 00 Z - X 3 w ~ { ~ { J Z (b N _ \~ ~ ~ A J { ~w ~ --~~ -~; i i~, i ~ ~ ~,~ j, ,- ~- - - , ~t ~{ ~, f j ' ------ ------~ (__._~.. II ` ;, I !~ _ --= ;~ ~~ ,~ ~1 .,,1' ,~ ;, ,~ ~! ,. I E ~ ,S~ cn~ ~ ~` ,~ V ~ ~ ~' I i c~ F ~.. 'J v °~,.- ~ ~^- ~~; 3 ~~ v J` ~ ly i '~ .~ I ~ j ~ <a:, ~ f ~ ~.~ % ~ ~ C J~ ~ ( ~ ~ J i ~ e 3 r i ~,-e rn~ t~ ~I~ LF L__ _ h 36 (•~~ n~ w I ~,, --- - g~ MJ ~~ , ~, ~J 60 (~ O/ ~,f`" C ` 1' A i , a ..~ a~ .~ ~Z ~i_«,n ~.- ..~.J.~._ 30.9 _. O O -~- ~ ~- -; ~--,---1 <~ >, ~ ~ z ` O ~ ' 3 --- I \y ` ~ \d _._~ _._ ~~ ~i v . ~ `;~ c., ~'> n \ _n - r 2. -0 I ~ ` "~_' i I~ " l~r .. ___.__.-_ 3 V i 1`1 i 1 ~~ ~~r~ 1 M i} { "K ____~ ~ ~f V M)L. ~ s_a ___ vi~.i ~j o , ~ - s~ ~~ I i j ~ ~\ i ~ \I ~ I ~ -fT of8alU i _,_ Ct?a3 C__ ~~r. '!~i `l~v i TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /xJ Land Lx7 Building(s) ~ Use(s) Pre C.0. #- Z-17064 Date- July 6, 1988 located at 4900 Peconic Bay Blvd. Laurel, N.Y. Street Hamlet shown on County ta.x map as District 1000, Section 128 Block ~4 Lot 04 does (not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front & rear yard set-backs; less than minimum habitable space. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming LX7 Land /~ Building(s) /~ Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the applicable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certificate is issued is as follows: Property contains a one story, one family wood framed seasonal dwelling; with screened porch; all situated in 'A' Residential Agricultural zone, with access to a Private R.O.W. The Certificate is issued to MARY ROSS (owner , XgX~C~~Xxd~FX7~31}IC of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE N0. N/A NOTICE 1S HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordinances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regulations. n.a_ Building Inspector FORM NO. 1 ~i~~'~ TOWN OFSOUTHOLD ~' I d ~ ~'"-" BUILDING DEPARTMENT BLDG.DcI'`i:~ t EOUTHOLD, NAY.L11971 WN OF SOtiTHOLD ~ TEL.: 765-1802 Examined ~~~~~........., 19~~i / Approved . /-~~......., I~f Permit No/ .~~~, Disapproved a/c .......................... . ...................................~.--,-T..J..... (~ BOARD OF HEALTH .. /~/~. 3 SETS OF PL.1NS ~1•.R..•....... SURVEY ....... ,0,~t{ , , , , CHECK .........O..K..l.~.`f.~.... SEPTIC FORPf ................ NOTIFY CALL .......... MAIL T0: ~3"JO ~ 5 fAp/~ ~/~i APPLICATION~bR BUILDING PERMIT / ~i~i Date`~~:~a!.l ......, 15`:." INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoving location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal ar demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi ., code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sigtlptu/re of a//plicant, or name, if a corporat/t?on)• ' ~ ailing address of applicant)/97~ State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor electrician, plumber or uilder .................................j~.].~y.~........../................................ Name of owner of premises . i!~i~~ /../V.~,~ , ./~ .!~~G, ;~,,,, ..................... (as on the tax roll or latest deed) 1f applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title ofjcorporate o~ifficerJ) Builder's License No. /. ~~ ~,u .. /!~ .... . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . Location of land on~which propo/sed work will be done. r~i~~! ! i~Ci6~ ~ 5 ~~` ~ G ~~.~~ ~y House Number ...................Street`..:....................Hamlet........................ 1 ~ County Tax MapNc.1000Sec[ion ...~~.~'..4~........ Block .~y;•Qd.......... Lot..b.(3~:..~oQ. • ...... Subdivision ..................................... Filed Atap No. .~~ rQ7~...... Lot .............. . '', (Name) i f ' ~'-' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..)+~'•"•`~ ~~~~ '~'d/~ ~ / .. • b. Intended use and occupancy .. ~+•~~~• • • • • • • • • • . • a .,...,..,..~.ti.,...»,....F .............«.. :, .w.............,., * ,. a r ~ i .. '' ,, # , ~/' eck which a / 3. nature of work (ohr pplicable): New Uuilding .......... Repair .............. Removal . Addition .......... .Utcration Y" • , , , • • • • • • • • .... Demolition Q;t1~r~V¢r!~('}„ "~ • 4. Estimated Cost .. ~ ~~ ~ (JO, , • ... • . , , . • . • . (Description) ...... .,~.. ................ Fee ...................... ............... 5 If aara'lcnnumbcr of cars . , , s, ,I (to be paid on filing this application) number of dwcllin units , ,,,, , , , , , , , , , , Number of dwelling units on each Moor .............. , 6. If business, commercial or mixed occu anc • • • • • • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • • • • 7. Dimensions of existing structures,' if any; Front cCrtySl a~rrc and extent of each type of use . , , , , , , , • • ~ ~ • Height ..... , . Numtcr of Stories , • •Rcar , ,5`', 5~ , , , , , , , , Depth . • ~"d , ... • • Dimensions of same structure wit{t alterations or additions: Fr~t ~ ~ • • ~ • •' ""' Depth ..... '. IIcight ..... ........... . ..... Rcar ...... , ...........'. 8. Dimensions of entire new constro~tion; Front , +rr~c ~ ' ' ' ' ' • • • Nu ~bcr of Stories ... , , , , , , , , • • • S~• Rear . .Depth . Height ,,,,,,,,Number of Stories. ~••~ •••~"•""" '•••••••• ~ •• 9. Size of lot: Front ........... Rcar ...... ...:.................... ............ .... 10, Date of purchase ~ •••••" ""••••••••••••••... Depth ... •••••~•• 11. Zone or use district in which re ' ' ' ' ' ' ' • • • Name of Former Owner ..... , , . , • • ~ ~ ' ' ' 12. Does ro P rtjisesaresituated .............:........ ••••~••~~~•••'•"•" P Posed construction violaNe any zoning law, ordinance or regulation: ~ ~ • ~ • • • • ' ' 13. Will lot be regraded ..... ! .... ,Will excess till be removed from premises: Yes No 14. Name of Owner of premises . , , ', , , ~ • • • • • • ~ ' ' Name of Architect ' ' ' ' ' ' ' ' ' • • • Address ...... ............Phone No. . Name of Contractor ........ • .' .......... • • • ..Address ...................phone No.. • • • • • • • • ..... . 15.Is this property locatrd within •"Address ., ,....,, ,,,. ,phonaNo..... ... € X00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town iTrustees Permit may be required. ,. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Lines, Give street and block number or description according fo deed, and show street names and indicate whether interior or corner lot. i j 0(J/tE"2.vf/D ais ~... , /~GGJ I,Urx~Go./S o I~ ' 'o ~a~ ~€w /~oo~~ '~ I F~) vr,.ow S c a r,u~ ~, ~ ~ T KG oar 8u)A/~s ~ c~os~,w ~o.~~~„ c.~A„~~ ~o~l-'~~NC' pJ6~ D~orLC_N ---~-- - -- -- -- -- - -- -- -- ~--- p„ -- - _~ STAT$ OF NEw YORK, ..OUNTY OF ^ (1`amc of individual si~nin~ I r • • • • • • .... being duly sworn, deposes and says that he is the applicant above named. /,~~j~ ~COntract) Ie is the ..............1!CICI'~L / /I/I,V),°t~,...~Pin~fG~.~ ~ ~4 ~.. .. .............. (Contractor, agent, corporate officer,ctE.) •••''''''' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~~Plication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set! forth in the application filed therewith, '•vorn to before me/,this ........... , j.7... `...Hday of ...'. , ~ Cam.........., 19 A°~ otary Public, , , , , !t/'!~G" •~• •~~• J~ • • (>o•p•t2 •. ~ • • • . County NELEN K DE VOE . (~`y~~,.......... . NOTARY PUBLIC, State of New Yak NaA707B7R,SuftolkCa~uptY~q (Signature of applicant) Term Expires March 30, ts:~./